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Myringotomy and insertion of grommets as day surgery: a case study

Michelle Daly1, Rachel Howe2

  • 1Second Year Student Nurse, BSc in Children's and General Nursing, University College Dublin, School of Nursing, Midwifery and Health Systems, Dublin, Ireland.

British Journal of Nursing (Mark Allen Publishing)
|February 10, 2021
PubMed

Insights

This case study details a child

Area of Science:

  • Pediatric Nursing
  • Surgical Care
  • Anesthesia Management

Background:

  • Pre-operative assessment is crucial for pediatric surgical patients.
  • Identifying potential issues before surgery can improve patient outcomes.
  • Student nurses play a vital role in pre-operative care under supervision.

Purpose of the Study:

  • To illustrate the nursing process during pre-operative care for pediatric elective surgery.
  • To identify and discuss specific pre-operative challenges encountered.
  • To highlight the collaborative role of student and registered nurses.

Main Methods:

  • Evidence-based case study approach.
  • Detailed nursing assessment of a pediatric patient undergoing myringotomy with grommet insertion.
  • Analysis of identified pre-operative problems and nursing interventions.

Main Results:

  • Two significant pre-operative problems were identified and managed.
  • The student nurse, with registered nurse support, successfully navigated patient care.
  • The study provides practical insights into managing pediatric surgical pre-operative phases.

Conclusions:

  • Effective pre-operative assessment and intervention are key in pediatric surgery.
  • Supervised student nurses can effectively manage complex patient care scenarios.
  • This case study offers valuable learning points for nursing practice in pediatric surgical settings.

Keywords:
Child- and family-centred careDay surgeryGrommetsMyringotomyOtitis media with effusionPaediatrics

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